This book constitutes the proceedings of the Second International Workshop on Thoracic Image Analysis, TIA 2020, held in Lima, Peru, in October 2020. Due to COVID-19 pandemic the conference was held virtually. COVID-19 infection has brought a lot of attention to lung imaging and the role of CT imaging in the diagnostic workflow of COVID-19 suspects is an important topic. The 14 full papers presented deal with all aspects of image analysis of thoracic data, including: image acquisition and reconstruction, segmentation, registration, quantification, visualization, validation, population-based modeling, biophysical modeling (computational anatomy), deep learning, image analysis in small animals, outcome-based research and novel infectious disease applications.